Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




Public Policy in the Community


Book Description

The idea of community involvement and empowerment has become central to politics in recent years. Governments, keen to reduce public spending and increase civic involvement, believe active communities are essential for tackling a range of social, economic and political challenges, such as crime, sustainable development and the provision of care. Public Policy in the Community examines the way that community and the ideas associated with it – civil society, social capital, mutuality, networks – have been understood and applied from the 1960s to the present day. Marilyn Taylor examines the issues involved in putting the community at the heart of policy making, and considers the political and social implications of such a practice. Drawing on a wide range of relevant examples from around the world, the book considers the success of existing approaches and the prospects for further developments. Thoroughly updated to reflect advances in research and practice, the new edition of this important text gives a state-of-the-art assessment of the place of community in public policy.




The Future of Public Health


Book Description

"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.




Social Policies and Social Control


Book Description

This book offers an innovative account of social-control and behaviorist thinking in social policies and welfare systems and the impact it has had on disadvantaged groups. The contributors review how controls have been applied to individuals and households and how these interventions have narrowed social rights. They illuminate the links between social control developments, welfare systems, and the liberalization of economics, and they highlight the negative impact that behaviorist assumptions--and the subsequent strategies that have grown out of them--have had on the disadvantaged. Overall the volume provides a cutting-edge critical engagement with contemporary policy developments.




The Future of the Public's Health in the 21st Century


Book Description

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.




The Oxford Handbook of Public Policy


Book Description

This is part of a ten volume set of reference books offering authoritative and engaging critical overviews of the state of political science. This work explores the business end of politics, where theory meets practice in the pursuit of public good.




U.S. Health in International Perspective


Book Description

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.




Society's Choices


Book Description

Breakthroughs in biomedicine often lead to new life-giving treatments but may also raise troubling, even life-and-death, quandaries. Society's Choices discusses ways for people to handle today's bioethics issues in the context of America's unique history and cultureâ€"and from the perspectives of various interest groups. The book explores how Americans have grappled with specific aspects of bioethics through commission deliberations, programs by organizations, and other mechanisms and identifies criteria for evaluating the outcomes of these efforts. The committee offers recommendations on the role of government and professional societies, the function of commissions and institutional review boards, and bioethics in health professional education and research. The volume includes a series of 12 superb background papers on public moral discourse, mechanisms for handling social and ethical dilemmas, and other specific areas of controversy by well-known experts Ronald Bayer, Martin Benjamin, Dan W. Brock, Baruch A. Brody, H. Alta Charo, Lawrence Gostin, Bradford H. Gray, Kathi E. Hanna, Elizabeth Heitman, Thomas Nagel, Steven Shapin, and Charles M. Swezey.




Community and Public Policy


Book Description

A text which explores the organizational advances that have taken place within community practice over the last decade and how ideas of community and "community practice" have found a place within public and social policies since the 1980s.




Public Policy for Democracy


Book Description

A fundamental rethinking is under way about the roles of government, citizens, and community organizations in public policy. Can government be reconstructed to make public policies more responsive to citizens and thus more effective? This challenge is apparent in the activist policy agenda of the Clinton administration, which supports national service programs, government-voluntary collaborations, and community-based development projects. Public Policy for Democracy is an important and timely contribution to the current discussion of how to get people more involved in their own governance. In this book, contributors urge policymakers and policy analysts to promote a more vigorous and inclusive democracy by incorporating concerns about citizenship in their craft, rather than strictly emphasizing efficiency and effectiveness. The authors provide insight into how the social construction of politics affects the recipients of the policies and the public in general. They call attention to how policies reinforce negative stereotypes of some groups, such as welfare recipients, and often lead to political alienation and withdrawal. In addition, they discuss how polices using "clinical reason"—a term borrowed from medicine and used as a way to classify people—are increasingly applied to nonmedical situations, such as domestic violence, to restrict individual power and legitimacy. The authors argue that much needs to be done by the government itself to improve policy design and empower all citizens to participate in the democratic process. They identify concrete strategies for policymakers to enhance the role of citizens without sacrificing program effectiveness.